PROGRAM IN NURSING SCIENCE POST-GRADUATE CERTIFICATE PROGRAM NURSE PRACTITIONER TRACK STUDENT HANDBOOK 2015-2016 UNIVERSITY OF CALIFORNIA, IRVINE TABLE OF CONTENTS Disclaimer……………………………………………………………………………….. 4 Faculty and Staff Directories …………………………………………………………. 4 Student Affairs and Support Services……………………………………................. 5 Frequently Asked Questions………………………………………………................. 6 Practicalities……………………………………………………………………………... 9 Change of Address, Phone or Name.…………………………………………. 9 Email & UCInetID ……………………………………………………………… 9 Role of the Faculty Advisor………………………………...…………………. 9 Library Cards……..…………………………………………………………….. 9 Post-Graduate Certificate Program Fees………………………….................. 10 Computer Lab Usage Policy (Berk Hall)……………………………………… 10 Introduction……………………………………………………………………………… 13 Purpose of the Handbook .…………………………………..…………………. 13 Program Description……………………………………………………………. 13 Accreditation………..……….…….…………………………………………….. 13 Program Information ……………….…….…………………………………………….. 14 Mission……………………..…………………………………………………….. 14 Vision…………………………………………………………………………….. 14 Philosophy…………..…………..………………………………………………. 14 Post-Graduate NP Certificate Program Goals………………………………... 15 Expected Student Outcomes, NP Track………………………………………. 15 Specialty Competencies, FNP and AGPCNP Concentrations……………….16 Waived Courses and Challenge Policy for Post-Graduate Students ……… 16 General Information for Post-Graduate Students………………………………….. 18 Academic Calendar.….….……….……………………………………………... 18 Academic Honesty…………………………………………………………..….. 18 Financial Aid ……………………………………………………..…………….. 18 Holidays………………………………………………………………………….. 19 Lapse of Status ………………………………………………………………….. 19 Leave of Absence for Post-Graduate Students……………………………….. 20 Withdrawal Policy………………………………………………………………. 20 Program in Nursing Science Policies & Requirements…………..………………... 21 Attendance ………………………………………………………………………. 21 Background Checks …………………………………………………………...... 21 Completion Requirements……………………………………………………... 21 Comprehensive Examinations…………………………………………………. 22 Examinations & Assignments………………………………………………….. 22 Failure/Dismissal……………………………………………………………… 23 Grading & Grading Scale for Nursing Courses ………………………….… 24 Grievance Policy…………….………………………………………………….. 25 Health and Other Requirements………………………………………………. 26 2 HIPAA Acknowledgement and Training Requirement…………………….. 27 Impaired Nursing Student Policy………………………………………………27 Malpractice Insurance for Student NPs…………….………………………… 31 Professional Conduct…………………………………………………………… 32 Clinical Preceptorship Information & Policies……………………………………… 33 Clinical Placement Process…………………………………………………….. 33 Clinical Experience Requirements…………………………………………….. 34 Student Clinical Preceptor Responsibilities: Getting Started………………. 34 Clinical Preceptors…………………………………………………................... 35 Professional Conduct in Clinical Rotations…………………………………... 36 Patient Privacy and Social Networking………………………….................... 38 Practicum Evaluation………………………………………………................... 38 Preceptor Evaluations of Student…………………………............................... 38 Standardized Patient Exams…………………………........................................ 39 Faculty Clinical Site Visit…………………………............................................ 39 Record Keeping………………………………………………………………….. 39 Exposure Guidelines to Bloodborne Pathogens……………………………… 40 Campus Resources………………………………………………………………………. 44 Appendix A: Post-Graduate Course Curriculum..………………………………….... -1Appendix B: Writing Resources…….…………………………………………………...-2Appendix C: Pearls for Recruiting a Preceptor………………………………………. -3Appendix D: New Preceptor/Clinical Site Information Form ……………………… -4Appendix E: Physical & Mental Health Clearance Form …………………………… -5- 3 DISCLAIMER All individuals participating in the UCI Program in Nursing Science Post-Graduate Certificate Program are enrolled in graduate-level coursework. Enrollees in this certificate program receive continuing education credits and are not seeking an academic degree. Therefore, they are not matriculating students here at UCI. As the Post-Graduate Certificate Program Handbook is a modified version of the M.S. Student Handbook, the term “student” is used throughout and applies to those enrolled in both matriculating and non-matriculating programs. FACULTY AND STAFF DIRECTORY Please see the following links for faculty and staff listings: http://www.nursing.uci.edu/faculty/faculty-list/ http://www.nursing.uci.edu/staff/staff-list/ 4 STUDENT AFFAIRS & SUPPORT SERVICES Student Affairs & Support Services is an excellent resource for information and advice. Academic Advisors counsel current and prospective students on admission and academics, in person, on the phone or by email. They are aware of all University policies and Program requirements. Academic Advisors track student’s coursework and grades, and provide a quarterly record. LOCATION: Student Affairs & Support Services is located in 106 Berk Hall. Berk Hall is Building Number 802 on the campus map. OFFICE HOURS: Monday through Friday: 8:00 am to 12:00 and 1:00pm to 5:00pm Closed from 12:00 to 1:00pm for lunch WEBSITE: http://www.nursing.uci.edu EMAIL: Graduate Programs Email Address: Undergraduate Program Email Address: gnsao@uci.edu nssao@uci.edu ADVISING STAFF CONTACT INFORMATION: Julie Aird, Manager of Student Affairs (949) 824-1514 jaird@uci.edu Lindsey Colburn, Academic Advisor (949) 824-1514 lcolburn@uci.edu 5 FREQUENTLY ASKED QUESTIONS General Questions: Where can I purchase course books? Required and recommended texts for courses in the Nurse Practitioner program may be purchased at the UCI Bookstore and/or through online vendors (e.g. amazon.com). Both required and recommended texts are course-specific and can be found in individual course syllabi. Where can I park on campus? All students must purchase a parking permit in order to park on campus at UCI. UCI Transportation Services offers a number of options to students interested in purchasing permits; visit http://www.parking.uci.edu/ for more information. Long-term parking permits can be purchased at the Transportation Services office or through its website. Short-term, one-day permits can be purchased at parking kiosks located throughout campus or at the Transportation Services office. How can I get a name badge? You must have a name badge prior to starting clinical rotations. Picture ID badges will be taken at the new student orientation. Where will classes be held? Room assignments will be determined one week prior to the start of each quarter and students will be notified by email. Do I have access to UCI libraries? Yes. All NP students have access to the libraries at UCIMC and on campus. A valid library card is required to check out material. For information on obtaining a library card: http://www.lib.uci.edu/services/borrowing/getting-a-library-card.html You will be assigned a sponsored UCInetID number in the fall to facilitate remote access to library resources. Do NOT lose your UCInetID. Clinical Questions: Do I need to find my own clinical preceptor? Students are required to identify two preceptors to augment clinical learning experiences. UC Irvine is responsible for coordinating and supervising students’ clinical experiences. To ensure timely graduation and acquisition of clinical competencies specific to their clinical concentration it will be necessary for students to submit new preceptors for program approval (See Appendix C). FNP concentration students are encouraged to identify an OB/GYN and a primary care site (inclusive of pediatric population); AGPCNP concentration students are encouraged to identify a geriatric-specific preceptor which may include outpatient or SNF as well as a primary care 6 site. For legal reasons, the University of California, Irvine must vet and approve the preceptor/facility, complete an affiliation agreement between the preceptor/facility, and provide an orientation to our program to ensure the student is able to be successful in completing the objectives and obtaining the necessary competencies for that clinical rotation. This process must occur prior to student assignment and may take an average of 6 months. Can I request a clinical preceptor? Yes. If you have a preceptor request for an established preceptor who has worked with UCI NP students in the past, discuss this Professor Fitzpatrick. If you request a preceptor who is new to our program, you must provide the Clinical Support Analyst with a completed New Preceptor/Clinical Site Information Form (see Appendix D). The Nurse Practitioner program will contact the potential preceptor to determine whether it is an appropriate clinical placement for a Nurse Practitioner student. Please note that requests for self-selected preceptors should be made well in advance of clinical rotations; the Program must set up an affiliation agreement that requires an average of six months to finalize. Is there a dress code for clinical rotations? Appropriate dress is required in clinical rotations. You must wear professional attire, a clean UCI Nursing Science lab coat with your name tag, your stethoscope, and closed-toed shoes. See Professional Attire policy. When do I start my clinical rotations? Clinical rotations will begin the second quarter of the program (January). When do clinical rotations occur? Clinical rotations occur as scheduled with your preceptor and based on his/her availability. Some preceptors may be able to provide weekend hours; however, this is not the norm, as you will be working in outpatient primary care. The Faculty of Record for your clinical rotation will need to be notified and available if you are scheduled after hours or on weekends. This is your responsibility. Where can I get malpractice insurance coverage? The three companies listed below currently provide malpractice insurance for Nurse Practitioners. You must obtain malpractice coverage as a student Nurse Practitioner before you are allowed to start your clinical rotation. Students are required to upload copies of their malpractice insurance to the Typhon Health Portal. Instructions on how to upload your clinical documents can be obtained from the Clinical Support Analyst. NSO (Nursing Service Organization) 800-247-1500 http://www.nso.com/ 7 CM&F (Cottrell, Mitchell & Fifer) 800-221-4904 http://www.cmfgroup.com/ Marsh Affinity Group 800-621-3008 www.proliability.com What if I don’t have all of my required documents for clinical practicum? Any required documents missing from a student’s file (current copy of RN license, BLS certification, current immunizations, TB screening results, current insurance, background check, etc.) will delay clinical placement. It is the student’s responsibility to upload current documents throughout the program as renewals occur. Documents are uploaded to the Typhon Health Portal and are checked by the UCI Nursing Science Clinical Support Analyst to make sure students are in compliance. 8 PRACTICALITIES CHANGE OF ADDRESS, PHONE OR NAME Students should inform Nursing Science Student Affairs of any changes or updates to their contact information. EMAIL & UCINETID All students have an email account based on their UCInetID with the Office of Information Technology (OIT). Faculty, staff, and students will use this address for official communication. The Program in Nursing Science will frequently communicate with the nursing students through your UCI email so IT IS IMPORTANT TO CHECK EMAIL DAILY. Students must respond to faculty & staff email in a timely manner. Additionally, in summer, students need to check their UCI email frequently, as faculty will be communicating critical information regarding clinical placements. Students may direct questions regarding email services to OIT at oit@uci.edu. Post-graduate students are provided a Sponsored UCInetID through Nursing Science Student Affairs. ROLE OF THE FACULTY ADVISOR All students in the Program in Nursing Science are assigned an advisor upon entry to the graduate program. Faculty advisors are specifically focused on the professional development of students. They are also familiar with strategies for Program success and can direct students in seeking resources. It is important to meet with your advisor regularly and keep them apprised of your progress in meeting program objectives. Student Affairs will provide students with their faculty advisor’s contact information during orientation. LIBRARY CARDS Library users must have a valid library card to check out material. An individual library card is reserved for your personal use and may not be loaned or transferred. Library cards must be activated in person at any of the UC Irvine Libraries Loan Desks. Possession of a library card does not guarantee access to all library material or services. Please contact the Library at (949) 824-6836 or visit http://www.lib.uci.edu/ for general information. 9 POST-GRADUATE CERTIFICATE PROGRAM FEES Post-Graduate Estimated Costs for Fall 2015 admission: (approximate and subject to change) Application fee: $75.00 Program Fee: $45,000.00 Books: $1,500.00 Stethoscope $150.00 Clinic Lab Coat $67.00 Laboratory fee $100.00 Malpractice Insurance $200.00 Parking varies with permit purchased Fees must be paid in two installments of $22,500, one on September 1 and one on April 1 of the student’s first year in the program. Students applying and accepted to the Post-Graduate Certification Program are not officially enrolled until their first installment of required fees is recorded. Advancement in the second year is conditional upon receipt of the second fee installment. Students failing to pay fees on time are not permitted to continue the program. COMPUTER LAB USAGE POLICY Eligible Users - The computer lab is open only to Program in Nursing Science faculty, staff and currently enrolled students. All other users are asked to use the university’s Office of Information Technology (OIT) open labs. A listing of labs operated by OIT is available on the website at: http://www.oit.uci.edu/labs/ . 1. General Usage a. The lab is available to students for course work during computer lab hours of operation (Monday-Friday; 8:00 a.m.-4:30 p.m.) and when no classes are scheduled in the room. b. Computers are available on a first-come first-served basis. Computers left unattended for more than 15 minutes will be made available to other users. c. Administrative Staff are not available to assist with users’ academic work or other related tasks and cannot do computer work on the users’ behalf. d. Problems with computer lab hardware, software or other equipment should be reported to the Assistant Director in 252L, x4-0468. e. Users are to clean up the area around the computer they used as they leave. This includes removing of storage devices, placing trash/paper in bins, and pushing in the chair. 10 f. Food is not permitted at the computer tables at any time. (Please use the lounge at the back of the room for eating). Water in covered containers or bottles is allowed at the computer tables. g. The computer resources are for academic purposes only. Use of computer resources for personal, non-University, purposes is prohibited. h. Persons using the lab assume responsibility for any damage they cause to equipment. i. Faculty and administrative staff are the appointed enforcers of the lab policy. They are responsible for ensuring that equipment is not being abused and for determining appropriate use of work in the computer lab. Circumstances not covered by this policy shall be at the discretion of the administrative staff. 2. Lab Policies a. Users are not permitted to install, modify, or delete any software on lab computers or change the desktop wallpaper, screen saver or add/delete shortcuts or icons. b. No user-supplied equipment, other than USB storage devices and audio headphones may be connected to the computers in the lab. c. User data files are to be saved to their own storage device such as USB memory stick. Files saved to the local hard drive are subject to deletion at any time without warning. d. The Program in Nursing Science is not responsible for any damage to user data files or equipment. e. Users are expected to keep noise to a minimum. Cell phones, pagers and mobile communication devices must be turned off or set to vibrate/silent. Calls must be taken outside the lab. 3. Internet and Network Policies a. Chatting, instant messaging, and online game playing are strictly prohibited in the lab. b. Downloading of copyrighted material or visiting peer-to-peer download sites is strictly prohibited. c. Visiting internet sites of an inappropriate nature or those that may be considered offensive by other individuals is strictly prohibited. d. Connecting any personal computer equipment except USB devices or audio headphones to the lab’s network can is strictly prohibited. 4. Printing a. Printing Services are only available for select courses and/or special activities. b. It is requested that large print jobs be printed double-sided. c. Printing of all jobs must be completed by closing time. 11 5. Resources It is the responsibility of the student to be familiar with the software packages they intend to use. Online help may be the best authority. If all else fails, students should direct their questions to their professor/instructor. 6. Penalties Users found to be in violation of this policy may be asked to leave the lab, have their privileges revoked, or be referred to the Assistant Director for review and action. 12 INTRODUCTION PURPOSE OF THE STUDENT HANDBOOK Welcome to the University of California, Irvine, Program in Nursing Science, Post-Graduate Nurse Practitioner Certificate program. Currently, there is one track, which is the Nurse Practitioner (NP) track, also called the NP program. Within this track are the Family Nurse Practitioner (FNP) and the Adult/Gerontological Primary Care Nurse Practitioner (AGPCNP) concentrations. This handbook will provide you with essential information about the NP program. We urge you to carefully review this document and others provided to you by the University to strengthen your understanding of our philosophy, mission, policies, and procedures. PROGRAM DESCRIPTION The UCI NP program prepares competent nurse practitioners who possess the knowledge, skills, and abilities in physical diagnosis, psycho-social assessment, and management of health and illness needs to assume responsibility for the primary ambulatory health care needs of underserved and insured individuals and family members both autonomously and in collaboration with other healthcare providers. Additionally, the program prepares nurses to evaluate and integrate evidence-based research as a cornerstone of clinical practice, and to function as interdisciplinary consultants and patient advocates. Registered nurses complete the program with a Post-Graduate NP Program Certificate in one of two population-focused specialties: Family NP or Adult/Gerontological Primary Care NP. The program includes classroom studies, research, laboratory activities, and individual preceptored clinical experiences. Upon completion of the program NP students are eligible to take the American Nurses Credentialing Center’s or American Academy of Nurse Practitioner’s National Certification Examinations in their area(s) of specialization. ACCREDITATION & APPROVAL UCI is fully accredited by the Senior Commission of the Western Association of Schools and Colleges. 1 The UCI Master of Science Program is fully accredited by the Commission on Collegiate Nursing Education (CCNE) http://www.aacn.nche.edu/ccne-accreditation and the Nurse Practitioner Track is approved by the California Board of Registered Nursing. 1 “Accréditation.” UCI General Catalogue, Volume 49. 13 PROGRAM INFORMATION MISSION OF THE PROGRAM IN NURSING SCIENCE Our mission is to use innovative approaches in research, teaching, and clinical practice to prepare nursing professionals who inspire and promote optimal health and well-being in individuals, families, and communities. VISION OF THE PROGRAM IN NURSING SCIENCE Our vision is to transform the nursing profession by preparing pioneers in research, education, and practice to build innovative, inter-professional models of compassionate community-based health care. PROGRAM IN NURSING SCIENCE PHILOSOPHY The philosophy of the Program in Nursing Science is aligned with the academic goals expressed by UC Irvine and emanates from the mission and goals of both UC Irvine and the University of California; our philosophy applies to both graduate and undergraduate programs. Nursing is interdisciplinary and collaborative in its art and its science. Together with other health professionals, the professional nurse addresses health care needs of individuals, families, and groups from diverse backgrounds. Health care needs range across the health-illness continuum from health promotion and wellness to intervention, treatment, rehabilitation, restoration, and palliation in response to illness. Professional nursing practice can occur in any environment and includes clinical practice, research, education, and leadership roles. Nursing practice is guided by a set of ethical principles that include a commitment to service and quality health care for all without regard to culture, race, gender, or social status. Each person with whom nurses interact possesses a unique set of biological, behavioral, socio-cultural, and spiritual characteristics. It is the responsibility of the professional nurse to understand and respect these characteristics and their role in the well-being of the individual. It is the right and responsibility of the individual, family, or group to make autonomous health care decisions and to collaborate with nurses and other health care professionals in their care. Nursing science and the evidence for nursing practice is derived from research that is both basic and applied. Professional nurses evaluate the evidence when considering care 14 alternatives. They participate in the research process to advance nursing practice and nursing science. Nursing students are unique individuals with diverse backgrounds and life experiences which enrich the educational environment for all students. Nursing students require substantive backgrounds in the theory and practice of nursing as well as in related disciplines including the biological, social, behavioral, medical, pharmaceutical, and biomedical sciences. They also require guidance to achieve increasingly complex levels of socialization, critical thinking, written and oral expression, and research skill based on their educational level. Nursing students have the responsibility to actively participate in their learning. The University provides multiple support systems which students have the responsibility to access when needed. Faculty have the responsibility of structuring the teaching and learning environment to facilitate student learning taking into consideration individual learning styles and personal professional goals. POST-GRADUATE NP CERTIFICATE PROGRAM GOALS The overall goals of the Post-Graduate NP Certificate Program are to prepare graduates with: expertise in a specialized area of advanced nursing practice; role preparation for the specialized area; leadership and health policy skills, and research skills. The Post-Graduate NP Certificate Program also prepares students for future doctoral work. EXPECTED STUDENT OUTCOMES, NP TRACK The Program in Nursing Science currently offers one MS degree and Post-Graduate Certificate Program track, the nurse practitioner (NP) track, which prepares graduates for evidence-based practice as advanced practice registered nurses (APRNs). Students choose between two population-focused concentrations, the Family Nurse Practitioner (FNP) or the Adult/Gerontological Primary Care Nurse Practitioner (AGPCNP) concentration. Expected student outcomes are unique to each concentration. The goals and expected outcomes are consistent with nursing standards and guidelines specific to the specialized area of advanced nursing practice for which individual concentrations prepare students. Upon completion of the NP track, graduates are prepared to: 1. Conduct comprehensive health and psychosocial assessments in a culturally sensitive manner for a specific population, including a detailed health history and complete physical examination. 2. Order and interpret diagnostic tests and procedures. 3. Differentiate, diagnose, and manage acute and chronic health problems. 15 4. Prescribe and manage pharmacotherapeutic agents and other therapies. 5. Provide health teaching and supportive counseling with an emphasis on prevention of illness, health maintenance, and disease management. 6. Collaborate with other health care professionals to provide interdisciplinary care. 7. Manage and negotiate a variety of health care systems with an emphasis on medically vulnerable and underserved populations. 8. Evaluate and integrate research evidence as a cornerstone of clinical practice. 9. Demonstrate knowledge and application of legal and regulatory authority for nurse practitioners in the State of California. 10. Analyze local, state, and national health policy, legislative and regulatory trends, and their implications for clinical practice. 11. Participate in the ongoing monitoring and analysis of health care quality and safety systems in clinical practice. SPECIALTY COMPETENCIES, FNP AND AGPCNP CONCENTRATIONS The competencies delineated for each specialty area of practice are intended to be used in conjunction with and build upon the student outcomes and core competencies identified for all NPs. The specialty competencies emphasize the unique philosophy of practice for that specialty and the needs of the populations served. Competencies are listed in the following publication available online: NONPF Core Competencies for Nurse Practitioners (2012) as well as the NONPF Population-Focused Competencies in Specialty Areas: http://nonpf.com/displaycommon.cfm?an=1&subarticlenbr=14 The curriculum plan for the Post-Graduate Certificate Program is located in Appendix A. Course descriptions can be found in the UCI Catalogue (http://catalogue.uci.edu/). WAIVED COURSES AND CHALLENGE POLICY FOR POST-GRADUATE STUDENTS Post-Graduate Students with NP Certification: Post-graduate students with national board certification as a nurse practitioner in a separate population foci may challenge or have some courses waived at the discretion of the Associate Director and/or Concentration Coordinator(s) for the NP program. Post-graduate students will meet with the Associate Director and/or Concentration Coordinator(s) for the NP program to determine which didactic and clinical courses may be waived, challenged or audited based upon their previous course work and board certification. The student must provide evidence of having successfully completed the courses in another accredited program. 16 Challenging didactic courses requires students to demonstrate mastery of the content, which will be determined on an individual basis by the Faculty of Record for the individual course. Challenging clinical courses will be individually arranged by the faculty and/or coordinators of the NP program concentration. A minimum of five patients in the population foci area will be seen and proctored to demonstrate competence in that area. Students who fail to demonstrate expected clinical behaviors will be required to have additional clinical experiences and/or be required to take the course. Maximum hours available for challenge are 220. Post-graduate Students without NP Certification: Some Post-Graduate NP Certificate students may be eligible for course waivers for equivalent coursework. NP Program Associate Director and/or Concentration Coordinator(s) will determine which didactic courses may be waived, challenged or audited based upon the student’s previous course work. The student must provide evidence of having successfully completed the courses in another accredited program. Challenging didactic courses requires students to demonstrate mastery of the content, which will be determined on an individual basis by the Faculty of Record for the individual course. Please note that there is no reduction in the Post-Graduate Certificate Program fee for waived, challenged or audited courses. 17 GENERAL INFORMATION FOR POST-GRADUATE STUDENTS ACADEMIC CALENDAR The Program in Nursing Science follows the academic calendar that is posted on the Registrar’s website. http://www.reg.uci.edu ACADEMIC HONESTY The UCI Academic Senate outlines a comprehensive policy on academic integrity, available at http://senate.uci.edu/uci-academic-senate-manual/part-iii-appendices-of-the-irvinedivision/appendix-viii-uci-academic-senate-policy-on-academic-honesty/ Post-graduate Certificate students are held to these same standards for academic honesty. All students are highly encouraged to carefully review these policies; any infraction of university-wide policy will incur consequences and can jeopardize program completion. Students can access numerous resources for aid in the writing process; see the section on Writing Resources (Appendix B) for more information. The UCI General Catalogue expands on the policy produced by the Academic Senate, available at: http://catalogue.uci.edu/appendix/#academichonestytext For information related specifically to testing, visit the Academic Honesty statement provided by the UCI Testing Office: http://www.testingoffice.uci.edu/academichonesty.html. The Nurse Practitioner Program requires students to adhere to the aforementioned policies as well as specific conduct expectations for both the clinical and didactic settings. FINANCIAL AID Because the post-graduate students receive a certificate rather than a degree, students enrolled in this program do not qualify for financial aid through UCI or for department awards. A number of outside loan, loan repayment, and scholarship opportunities are available to Nurse Practitioner students. Students are responsible for ensuring their capacity to meet financial obligations. Loans • CitiBank CitiAssistTM Loans 18 Students enrolled in the NP program are eligible to qualify for student loans through CitiAssistTM. Students should apply online: https://www.studentloan.com/ Loan Repayment and Scholarships Nurse Practitioner students are eligible for various loan repayment and scholarship programs. Students are encouraged to visit the following websites to search for available funds. Please note that the following list is not exhaustive: • HRSA: Health Resources and Services Administration Selective Nursing Scholarship Program awards significant benefits to nursing students who work for at least two years in a health care facility experiencing a nursing shortage http://www.hrsa.gov/loanscholarships/scholarships/Nursing/ • OSHPD: Office of Statewide Health Planning and Development Offers a number of selective scholarship and loan repayment programs. http://www.oshpd.ca.gov/hpef/ • AANP: American Academy of Nurse Practitioners Foundation Offers various scholarship and grant opportunities for student-led research. http://www.aanp.org/ • Discover Nursing Database of scholarships available to nursing students https://www.discovernursing.com/scholarships#no-filters. HOLIDAYS Holidays corresponding to the UCI calendar will be observed in the program. An academic calendar for the 2015-2016 academic year can be found at the Registrar’s website: http://reg.uci.edu/calendars/quarterly/2015-2016/quarterly15-16.html LAPSE OF STATUS POLICY A post-graduate student is required to maintain continuous enrollment during fall, winter, and spring quarter from the beginning of the program of study until awarding of the certificate. This policy is designed to eliminate the need for readmission to the program, provide opportunity for continuous use of facilities, including the library, and assure the development of an integrated program, which is adequately supervised and effectively completed within the time limitations allowed. 19 LEAVE OF ABSENCE FOR POST-GRADUATE STUDENTS The program is designed for didactic content to synchronize with the clinical experience. Students who are granted a leave of absence for any reason may be granted a maximum extension of one academic year to complete all program components (didactic and clinical). Emergency Leave: a short-term leave may be granted by the program for illness or appropriate personal reasons. Students must apply to the NP Concentration Coordinators in writing seeking permission for a leave. Decisions for short-term leave are made in collaboration with the Associate Director, Graduate NP Program. Readmission after Extended Leave: Permission for an extended leave of absence (no more than the remainder of the program year) must be granted by the program or the student will be dismissed from the program. Requests must be in writing and students must then request readmission. Cases will be determined on an individual basis. Medical Leave: In case of illness or medical leave, a medical clearance will need to be submitted to the Associate Director, Graduate NP Program for consideration for readmission to the program. WITHDRAWAL POLICY Post-Graduate Certificate students withdrawing from the program prior to the first day of instruction will receive a full refund of the first installment fee payment. Students withdrawing after the first day of instruction are ineligible for refund of fees. Requests for exception to this policy for hardship must be made in writing and directed to the Assistant Director. Responses to such appeals are final. 20 PROGRAM IN NURSING SCIENCE POLICIES & REQUIREMENTS ATTENDANCE Students are expected to be punctual when attending scheduled classes, seminars and clinical assignments. If an absence is necessary in clinical, students must notify the contact person/preceptor in the clinical agency and the UCI Faculty of Record for the Clinical Practicum prior to the absence. Students are responsible for meeting unit/content objectives covered and clinical hours missed during their absence. If course requirements cannot be met, a failure or an incomplete grade will be given, depending on the circumstances involved. See Handbook section on Incomplete Grades. BACKGROUND CHECKS Students will be required to pay for a background check prior to entering their clinical experience as required by clinical sites. Background check requirements are subject to change, based on the requirements of the clinical facilities. In the event that a student must decelerate their program of study resulting in time away from the program, a new background check is required upon return to the Program in Nursing Science, and prior to clinical placement. A vendor selected by the Program in Nursing Science will perform the background check. If a student has concerns about his or her ability to pass this background check, he or she should contact Nursing Science Student Affairs to discuss available options. COMPLETION REQUIREMENTS 1. 2. 3. 4. Sixty-six (66) quarter units may be required for completion of the Post-Graduate Certificate which includes 720 hours of clinical experience. Program completion requirements will be individualized for post-graduate students who hold a certification in other NP population foci. Passing Grades in all didactic and clinical courses are required for program completion. Graduate courses require that students pass all courses with at least a grade of B (83% or above) or an “S” (Satisfactory). Grades below 83% and “U” (Unsatisfactory) will NOT be accepted toward program completion. All students must complete the Skills Appraisal Exam and Objective Structured Clinical Exam(s), as well as pass the Clinical Practice Exam and Comprehensive Examination during the program. Students are strongly encouraged to take the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners Certification Program (AANPCP) national certification exam upon program completion. Failure to do so will compromise your ability to be credentialed by health plans and/or receive payment for services by Medicare, Medi-Cal, and other payers’ as a nurse practitioner. Faculty will provide letters of recommendation upon notification of successful passage of certification examination. 21 COMPREHENSIVE EXAMINATIONS Post-graduate students will be required to complete a comprehensive examination which will prepare graduates for national certification examinations. As part of the comprehensive examination, students will complete written and practical examinations. There is a separate fee associated with these exams. The practical examination, or clinical practice exam (CPX), will be held in the Medical Education Building utilizing standardized patients. If a student fails the written or practical examination, the student must develop a remediation plan, to be submitted to the Faculty of Record for that course for approval. If the student successfully remediates on their second attempt, they will be allowed to graduate from the program. However, the need to remediate may impede the student’s ability to participate in the Program in Nursing Science Recognition Ceremony. If the student fails to successfully remediate and pass either portion of the exam (written or practical) on the second attempt, the student will be dismissed from the program. It is important for students to be aware of this policy. EXAMINATIONS AND ASSIGNMENTS A minimum score of 83% is required to successfully pass an exam or assignment in all courses. Students who receive less than 83% are expected to work with their faculty to remediate and demonstrate baseline knowledge acquisition of the material for program progression and clinical work. The following policies are outlined for remediation: 1. If a student fails any didactic evaluation component, make-up exams or other remediation as determined by the faculty must be scheduled with the faculty within two weeks of original exam or assignment. It is the student’s responsibility to arrange a remediation plan with the faculty. 2. A minimum score of 83% is required to pass the make-up exam or assignment. Regardless of the score on the make-up exam, the original score on the exam is used to calculate the final grade. The make-up exam is used to determine whether the student has adequate knowledge of the content to safely continue in the clinical setting and progress in the curriculum. 3. For post-graduate NP students challenging course work, no make-up exam is available for courses being challenged. Failure on the first attempt requires enrollment in the course. 4. Failure to take the Skills Appraisal Exam (SKA), Objective Structured Clinical Exams (OSCE), or the Clinical Practice Exam (CPX) when scheduled will result in a failure of that course. 22 FAILURE/DISMISSAL Failure of Advanced Health and Physical Assessment (Lecture or Lab) • The Skills Appraisal Exam (SKA) is a performance exam in which students perform histories and physical exams on standardized patients at the end of the first quarter, as part of the final grade for this course (230L). Student’s scores are obtained from feedback from trained standardized patients and/or faculty observation. • Students who fail the Advanced Health and Physical Assessment course (lecture OR lab) will not be allowed to continue in the NP program. They may re-apply the following year. If they are accepted to the program for the following year, they must retake and pass Advanced Health and Physical Assessment. Failure of Course For students failing any other course with a grade of less than 83% (in a didactic course) or an Unsatisfactory (in a practicum course), the student will be placed on academic probation, and counseled about the deficiency by the Faculty of Record and the Academic Advisor. • The course must be retaken the following year and successfully passed. • Students may also be offered the option of taking an equivalent course at an outside university if one can be identified by the student and fits in with the student’s plan of study- details and course approval must be discussed with the Faculty of Record. It is extremely difficult to find an equivalent course; this is the student’s responsibility and must be pre-approved by the Faculty of Record prior to student enrollment. This will not change the original grade but may allow the student to remain in the program until the course can be successfully repeated. • Failure of a second course will result in dismissal from the program. Failing to Remain in Good Standing Promotion requirements are as follows: all students must demonstrate satisfactory behavior in personal and professional areas deemed necessary by faculty for academic success and competency in clinical practice. Such areas may include: • the ability to establish rapport with clients; • ability to work effectively with other members of the healthcare team; • dependability; judgment; integrity; initiative; and interest. • In addition to the above, students may be dismissed from the program for academic failure, academic dishonesty, endangering patients and/or for inappropriate or unprofessional conduct without remediation. • Post-graduate students dismissed from the program will not be refunded any of the program tuition they have paid up to that point. 23 GRADING & GRADING SCALE FOR GRADUATE NURSING COURSES A grade of 83% or above is required to pass all coursework. Grading guidelines are provided by the individual course faculty as outlined in each syllabus and adheres to University policy. The didactic work of graduate students shall be reported as one of the following grades A+, A, A-, B+, B and represent satisfactory progress toward graduate-level requirements. Grades below the B level are not satisfactory. Specific clinical coursework of students may be reported as Satisfactory/Unsatisfactory (S/U). The grade S is awarded only for work that would otherwise receive a grade of B (83 % or higher) (3.0) or better; the grade U is assigned whenever a grade of B- or lower would be otherwise given. INCOMPLETE GRADES The grade “incomplete” (I) is assigned when a student’s work is of passing quality but is incomplete because of a personal emergency or other “good cause.” Good cause will be evaluated by the Faculty of Record. The decision of the Faculty of Record is final and students may not appeal. The student must make arrangements with their instructor to complete the coursework within a period of no more than 12 months following the term in which the grade Incomplete was originally awarded, or prior to the end of the quarter immediately preceding completion of the program, whichever comes first. The instructor is not obligated to allow the maximum time period. Incomplete (I) grades will convert to a failing grade (F), not pass (NP), or unsatisfactory (U), whichever is appropriate, after remaining on the student's record for 12 months. A+ A AB+ B Passing 97-100 93-96 90-92 87-89 83-86 BC+ C CD+ D DF Not Passing 80-82.99 77-79 73-76 70-72 67-69 63-66 60-62 59 and lower 24 GRIEVANCE POLICY Nursing Science students who have concerns about an academic issue (excluding grades) are directed to the Faculty of Record (FOR) for resolution within 5 working days of the event in question. If, after meeting with the FOR, the student feels the issue remains unresolved, the next step is to meet with their Faculty Advisor. If, after meeting with the Faculty Advisor, the student feels the issue remains unresolved, the next step is to meet with the Associate Director of the Graduate NP Program. If still unresolved, a student can file a grievance. The student should consult Student Affairs & Support Services regarding the grievance procedure and follow the guidelines outlined below. Grievances will be resolved in a timely manner. Please note that grades may not be grieved. Grievance Process 1. If the student’s concern has not been resolved as described above, the next step is to meet with the Nursing Science Student Affairs Committee (SAC). The student must submit a written letter to Student Affairs & Support Services requesting a meeting with the SAC. The SAC will review the documentation and schedule a meeting with the student within five (5) working days of receipt of the student’s letter to discuss the student’s concerns. The SAC can also request to meet with any faculty or staff involved in the complaint. This is an informal meeting and not a legal proceeding; therefore, no lawyers, or outside parties are to be present. i. The meeting will be attended by three members of the Student Affairs Committee and the student grievant. 2. Following the meeting, the SAC has five (5) working days to respond in writing with their recommendations and findings. The Chair of the SAC will forward written communication to the Associate Director, Clinical Affairs and a copy of the letter will be forwarded to the student via email and certified mail. 3. If the student believes their academic issue has not been satisfactorily resolved by the Student Affairs Committee, the student can request to meet with the Associate Director, Clinical Affairs in the Program in Nursing Science. A written request must be submitted to Student Affairs & Support Services within five (5) working days of receipt of the SAC letter. 4. The Associate Director, Clinical Affairs will review all documentation and has the option to meet in-person with the student, faculty, and staff. The Associate Director, Clinical Affairs will focus on whether the decision made is reasonable and in compliance with the Program in Nursing Science policies and University policies. The Associate Director, Clinical Affairs will notify the student of his/her decision regarding the student’s grievance via certified mail within seven (7) working days. 25 HEALTH AND OTHER REQUIREMENTS 1. Written proof of influenza immunization by December 1st or meet written criteria for exception, prior to starting clinical rotations. Must have the Seasonal Flu vaccine as determined by CDC annual recommendations. 2. Rubella: positive titer 3. Rubeola (Measles): positive titer 4. Mumps: positive titer 5. Tuberculosis (TB): must provide a report showing a negative TB Skin Test (TST) within past 12 months. It is the student’s responsibility to upload annual negative TST results in Typhon NPST as directed. • Positive skin test: a. must provide proof of a negative chest x-ray at the start of the program and every 4 years thereafter b. Must complete Annual Health Screening Questionnaire for History of Positive TB Skin Test 6. Varicella (Chicken Pox): positive titer 7. Hepatitis B vaccination: positive titer 8. Proof of pertussis vaccine required (Tdap); if received after the age of 19, this is acceptable 9. Physical and Mental Health Clearance. Documentation from your healthcare provider indicating you do not have any health condition(s) that would create a hazard to yourself, employees, or patients. Documentation can be signed by physician, physician’s assistant, or nurse practitioner. Form to have signed is provided by the Nursing Science Program. See Appendix E. If for any reason, a student should have a leave of absence/break in enrollment from the Program in Nursing Science, the Program in Nursing Science reserves the right to request another Physical and Mental Health Clearance be completed. 10. When a student notifies faculty of an illness (physical or mental), injury or surgery that impacts student’s ability to function in the clinical setting, students will be directed to provide the approved clearance form (Appendix E) completed by an appropriate healthcare provider that provides information indicting date student able to return to clinic duties and any physical limitations which may interfere with clinical rotation duties. The reason does not need to be specified. Any physical or mental limitations noted by the healthcare provider (HCP) which may interfere with clinical duties may make the student ineligible to complete their clinical requirements that quarter. 11. If clinical agencies have additional health specifications (e.g. drug testing), students who are assigned to those agencies will be required to meet them. 12. Students must have current CPR certification. 13. Students must have current malpractice insurance for NP student 14. Students must have California RN license status (active and unrestricted). 15. Students must have a background check 26 All the above documents must be uploaded by the student into Typhon by Dec. 1 prior to beginning clinical prior to winter quarter of students’ first year. Instructions and password to the Typhon NPST will be provided to students during the first quarter. HIPAA ACKNOWLEDGEMENT AND TRAINING Patient confidentiality and privacy are critical to maintaining a patient's dignity and autonomy. Information about patients should be shared only with your instructors and other professionals in private settings. Do not discuss your patients in public places in the hospital, or outside the hospital. Sharing of patient information in public places (i.e. with friends, social networking sites, etc.) is a breach of confidentiality and will not be tolerated. As of August 2013, new federal health mandates require that all NP students complete an online HIPAA training prior to starting clinical rotations. Details on how to obtain the training will be provided at orientation. Students must complete the online training and upload a copy of their certificate to their individual Typhon student account. Technology Statement Many of the clinical placement sites and facilities have guidelines and policies regarding use of technology and devices while in a clinical setting. Cell phones and other personal electronic devices can pose a high risk of infection control issues and HIPAA concerns, and students are encouraged to refrain from use of cell phones and other personal electronic devices while in patient care areas. Students should not talk, text, or otherwise handle their cell phones in patient care areas. Cell phones should be kept in silent/vibrate mode when in a clinical setting. Students are never to take photos of patients or patient families with cell phones. Please be aware that all social networking sites are public domain, and any post may have legal and/or professional ramifications. IMPAIRED NURSING STUDENT POLICY Faculty members recognize that all people are susceptible to illnesses that may impair their ability to function at an optimal level. When a student develops an illness that impairs the ability to learn and provide safe nursing care it is of special concern. In the case of chemical dependence, the University of California recognizes dependency on alcohol and other drugs as a treatable condition and offers programs and services for University students with substance dependency problems. Students are encouraged to seek assistance from health centers, and counseling or psychological services available at University locations or through referral. Information obtained regarding a student during participation in such programs or services will be treated as confidential, in accordance with Federal and State laws. Impairment is defined as a “clinically significant behavioral or psychological syndrome…that is associated with present distress (e.g. a painful symptoms) or disability (e.g. impairment in one 27 of more important areas of functioning) or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom.…it must currently be considered a manifestation of behavioral, psychological, or biological dysfunction…” (American Psychiatric Association, 1994, p. xxi). Examples of impairment include, but are not limited to, alcohol or drug use in the learning environment (clinical or classroom settings), and symptoms of mental distress (e.g., severe anxiety, depression) that make it hard for students to learn, perform, and/or complete their assignments on time. Impairment is commonly evidenced by poor judgment and decision-making, lack of insight into the problem, and unprofessional behavior. It negatively affects learning and professional performance, and renders students unable to provide safe, effective care. It may be episodic or chronic. Underlying Assumptions: • • • • • When a student's performance is impaired, safe, effective care is at risk whether it occurs in the classroom, learning skills laboratory or in the clinical setting. Alcohol and drug abuse and addiction are primary illnesses, as are psychiatric and physical illnesses, and can be successfully treated with rehabilitation. Students who are willing to cooperate with a program of assistance and accept treatment, rehabilitation, and monitoring can be allowed to continue their nursing education; provided they comply with requirements for treatment and monitoring and provide the nursing program with proof of treatment. This applies for any illness causing impairment. Repeated episodes of impairment are cause for disciplinary procedures. Additionally, students identified as impaired or potentially impaired who are unwilling to seek treatment will also be subject to disciplinary procedures. Students should not use illegal substances or abuse legal substances in a manner that impairs work performance, scholarly activities or student life. Students in violation of this policy may be subject to corrective action, up to and including dismissal or may be required, at the discretion of the University, to participate satisfactorily in a treatment program. The purpose of this policy is to: • • Encourage students who self-identify as having physical, cognitive, or emotional conditions affecting their performance to seek and receive evaluation, treatment and/or professional counseling. Identify and assist students who have not yet recognized signs of potential impairment in themselves or identified themselves as having medical or emotional conditions leading to future impairment. Procedure: Potential impairment may be identified by recognition of signs of deteriorating performance including but not limited to: 28 • • • • • • • • Problems with tardiness and or absences from clinical time Increasing numbers of incidents or near-misses with potential harm to patients Observed or reported incidence of interpersonal conflict Excessive procrastination and poorly prepared work Inability to pay attention, distractibility, sleepiness Deterioration in personal hygiene Awkward, ineffective, inaccurate psychomotor skills Extreme dependency on the instructor Signs & Symptoms of Intoxication: Data indicating need for removal from clinical site, evaluation, and documentation. • • • • • • • • • Odor of alcohol Unsteady gait Rapid or slurred speech Blood shot eyes Fine motor tremors Dilated or pinpoint pupils Difficulty with calculations Inability to follow directions N/V or sweating without known cause Self-identification and report: • • The student will be advised to seek care from their personal health care provider for professional evaluation and treatment if this is not in process. A conference will be arranged with the Associate Director, Graduate NP Program to decide the following (with input from Academic Advisor): o Continued attendance in the nursing program and any necessary restrictions o Schedule of reports on progress o Plan for relapse prevention (student responsibility) One time incident: • • • The Faculty/clinical instructor/preceptor will observe, assess, and document performance and objective data. In the initial student-faculty meeting, the student will be informed of the reasons she/he must leave clinical (symptoms of illness, impairment and lack of required safe, professional behaviors). The student will be removed from clinical for the remainder of the day and at the discretion of the instructor/preceptor. The absence may count as an unexcused absence. The clinical instructor/preceptor will arrange for someone to drive the student home and will inform the student of the need for a follow-up meeting at campus. 29 • • • The clinical instructor/preceptor will also contact the school and inform the Faculty of Record and the Associate Director, Graduate NP Program about the impaired student issue. At the student-faculty follow-up conference, faculty will provide additional guidance: discuss behavior and/or signs of illness; establish expectations and limits for future behavior of student (designate time period); encourage student to give his/her perception of situation and plans to prevent further unprofessional behaviors. Record relevant information, including plan for follow-up with student and Academic Advisor. Give a copy of the plan to the student and send to the Associate Director, Graduate NP Program. Include in the discussion and documentation the possible need for professional evaluation and support, and any referrals made. Repeated incident: • • • • • • • The Faculty witnessing the impairment will consult with the Faculty of Record and the Associate Director, Graduate NP Program. Review all documentation of related incidents. If a pattern of observable behaviors is identified, then arrange for a conference with the student. Prepare for intervention through collaboration with counseling service and Academic Advisor. At the conference inform the student of concern, observed pattern of impairment and need for professional evaluation as a condition of continued professional education. Advise student to seek care from their personal health care provider. Student will be encouraged to seek ongoing substance abuse remediation and/or ongoing counseling services to support the student. If the student refuses to seek care, disciplinary procedures may be indicated and may necessitate involuntary withdrawal from the Program in Nursing Science. The student may not return to the patient care setting until the student is deemed safe to return to patient care activities by the Faculty of Record in collaboration with the Associate Director, Graduate NP Program. After evaluation the Associate Director of the Graduate NP Program in Nursing Science will meet with the student and their advisor. o If an illness is not identified, a contract will be established outlining unacceptable behavior and a time frame for improvement including clear consequences if change does not occur. o If the student is identified as chemically dependent or having any other illness or condition that impairs judgment and/or performance, she/he will be asked to enter treatment and/or withdraw and enter treatment and rehabilitation (depends on the severity of the condition and prognosis). Documentation will be maintained in separate, confidential files, and will include conditions for continuing in the program, copies of professional evaluation, diagnosis and treatment recommendation. The student will be informed of implications for licensure and that they will need to provide evidence of rehabilitation to submit their application for licensure. 30 • • Written plan/contract is sent by Associate Director, Clinical Affairs, with copy to Student Affairs & Support Services, faculty advisor (if appropriate) and student. Plan to include goals and scheduled time for follow-up meetings. A copy of the plan should be given to the student and placed in their file. Failure to adhere to the contractual agreement is grounds for dismissal from the Program in Nursing Science. This policy pertains to lecture classes, not just clinical situations. If a student shows signs of intoxication during lecture, the student will be removed from class and the Associate Director, Graduate NP Program will be informed. Resources: American Nurses Association (2002). The profession’s response to the problems of addictions and psychiatric disorders in nursing. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. BRN Position Statement on Impaired Nursing Students - EDP-B-03 (06/09) UCI Policy On Substance Abuse - http://www.dos.uci.edu/conduct/appendix-j.php MALPRACTICE INSURANCE 1. 2. Malpractice Insurance: Students must carry their own student NP malpractice insurance as a student nurse practitioner while they are in the program. Copies of insurance should be uploaded to the Typhon NPST. The three companies listed below currently provide malpractice insurance for Nurse Practitioners. You must obtain malpractice coverage as a student Nurse Practitioner before you are allowed to start your clinical rotation. NSO (Nursing Service Organization) 800-247-1500 http://www.nso.com/ CM&F (Cottrell, Mitchell & Fifer) 800-221-4904 http://www.cmfgroup.com/ 31 Marsh Affinity Group 800-621-3008 www.proliability.com PROFESSIONAL CONDUCT Classroom conduct: Students are expected to be prompt and knowledgeably prepared for each class at the appointed time. Courtesy is to be extended to all guest lecturers and faculty; talking and disrespect of the guest lecturer or faculty will not be tolerated. Use of cell phones and texting during class and/or use of a computer for anything other than note-taking or research as directed by the instructor is not acceptable professional behavior. Use of substances during class such as tobacco or other substances will result in immediate dismissal from the class. Students who wish to tape the lecture must request permission to record prior to the class. Professional presentation attire is specific to presentations (in or out of class), ceremonies, job interviews, as well as any activity where a student is representing the nursing profession or the UCI Program in Nursing Science. For women this may include a business suit or dress, skirt and blouse – no cleavage or midriff showing; for men a suit or jacket and tie are required. Closed toe shoes are part of professional dress. Ethical Issues: The program employs an honor system of examination. Students shall adhere to the honor system with any written assignment, exam, or clinical performance exam, taking credit only for work that is their own, not accepting or soliciting help from others during exams and keeping records truthful. This honor system applies to student tracking of clinical hours and clinical record keeping. An infraction may be considered cause for dismissal. 32 CLINICAL PRECEPTORSHIP INFORMATION AND POLICIES The Clinical Practicum component of the Program is comprised of five Advanced Practice Registered Nursing courses, NUR SCI 285 – 289. This portion of the program is designed to maximize clinical learning and skill progression over time. Specific requirements for each clinical course will be provided in the individual course syllabus. During your clinical rotations you are representing the University of California, Irvine, Program in Nursing Science, Nurse Practitioner Track, as well as Nurse Practitioners in general. You are also establishing a professional network that may impact your future: a clinical preceptor might be a future employer or provide a reference for letters of recommendation. It is recognized that patient problems encountered in the clinical setting frequently do not coincide with the didactic content. Nonetheless, the student is expected to gather complete subjective and objective data on all patients. Students are not expected to be able to diagnose all problems or to develop treatment plans for all patients depending upon their standing in the program. The student must, however, know and respect his or her limitations in knowledge and consult or refer appropriately to ensure patient safety. Clinical performance is expected to progress alongside the student’s academic advancement each quarter. The ability to obtain a history, present patient cases, perform physical examinations, interpret findings, integrate lab data, articulate differential diagnoses, and delineate initial management plans is expected to progress with increasing accuracy each quarter. CLINICAL PLACEMENT PROCESS • • • • • • Students will be assigned to clinical placements, considering the following factors in placement: o Learning opportunity/value o Students strengths/needs in conjunction with clinics/preceptors strengths/needs o Bilingual capability Students may not decline a clinical placement for any reason. The student’s tenure at each site will vary: the usual duration consists of one to three quarters with varied weekly hours. Students are required to identify two preceptors to augment clinical learning experiences. Refer to “Pearls for Recruiting Preceptors” in Appendix C. FNP concentration: the clinical experience must include family practice, adult/gerontological medicine, pediatrics and OB-GYN. o Minimum patient encounter goals: Pediatrics: 150; Adult: 300; Geriatrics: 50; and Women’s Health: 200 (a minimum of 50 must be prenatal/postpartum). AGPCNP concentration: the clinical experience must include women’s health, adult, and geriatrics. 33 o Minimum patient encounter goals: Women’s Health: 150; Adult: 300; Geriatrics: • • • • • • 250 Additional rotations in subspecialty practices may be completed in the course of the clinical practicum, but must be approved and arranged by the Lead Faculty for Clinical Placements. NP students may be mentored by a Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Medical Doctor (MD), or Doctor of Osteopathic Medicine (DO). Students with a potential new preceptor should complete the “New Preceptor/Clinical Site Information” for processing as soon as possible. The form is available in Appendix D, and should be submitted to the Clinical Support Analyst. The Lead Faculty for Clinical Placements and the Concentration Coordinators manage student placement in the clinical rotations. The Program in Nursing Science will secure all necessary legal affiliation agreements among the clinical sites or preceptors and the University. Faculty shall perform a site visit or interview all potential new clinical preceptors prior to student placement. CLINICAL EXPERIENCE REQUIREMENTS • • • • 720 clinical hours are required for program completion for both NP concentrations. Attendance at each scheduled practicum day is expected unless the student has notified the preceptor and Faculty of Record of an excused absence prior to the beginning of the workday. Inconsistent attendance in clinical may jeopardize the students acquisition of knowledge and skills, impede progression in the program, and result in an “Unsatisfactory” evaluation for the rotation. The minimum patient-encounter goal for all students is 700. STUDENT CLINICAL PRECEPTORSHIP RESPONSIBILITIES: GETTING STARTED • • • • • • • As soon as you receive your assignment contact your preceptor by phone or email to introduce yourself. Preceptors may take a week or so to respond. If you are unable to reach a preceptor after 3 attempts within one week, please inform the Clinical Support Analyst. Arrange a start time, date, and specific location. Ask about parking. Some preceptors may request a telephone or in person interview prior to your first day in clinic. Dress professionally and bring all documentation and CV. Routinely bring the following documents to clinical sites: copy of your CV/resume, copy of RN license, CPR certificate, TB screening results, malpractice insurance, immunization records. Be sure you keep these records updated through-out the program. Some facilities will require evidence of a current physical examination (within one year). Background checks are required prior to clinical placements. (See BACKGROUND CHECKS) Copies of immunization records, TB screening, RN licensure, malpractice insurance, and CPR certification must be uploaded to a secure database, TYPHON NPST system. Failure 34 • • • • to have current documentation of any information will result in removal from the clinical preceptorship site which may delay successful completion of the course and ultimately graduation from this program. Students must attend clinical rotations as scheduled and must arrange alternate plans when a preceptor is absent from the clinical site. Students must attend the clinical seminar as scheduled. Students must wear their UCI name badge and lab coat during clinical rotations. Notify the Faculty of Record for the clinical course immediately of any problems that arise while in the clinical setting. We advise that you contact the UCI faculty by phone as soon as possible and email when you are able. Equipment: Preparing for Clinical Rotations 1. 2. 3. 4. 5. 6. UCI Nametag to be worn at all times while in clinical settings UCI White Lab Coat (3/4 Length), clean & pressed Stethoscope Watch with second hand Minimal money Clinical Documents: patient logs, clinical hours log completed daily with signature from supervisor 7. References: bring your own reference books and/or electronic devices 8. Do not bring your laptop to enter patient data while in clinic CLINICAL PRECEPTORS A major part of the clinical learning is accomplished under the direction of the community preceptor who is trained and clinically active in the provision of primary health care services. The preceptor helps the student learn clinical skills while applying didactic knowledge to the clinical setting. NPs, CNMs, and physicians (MD/DO) serve as clinical preceptors for the program, providing experience in performing the diagnostic and treatment procedures necessary for Nurse Practitioner practice. It is the goal of the program to educate the student to work in a team relationship consisting of the NP, the physician, and the patient, recognizing that they are a team sharing knowledge and responsibility. • • • Nurse Practitioner clinical preceptors must hold an active RN licensure, NP certificate, and NP furnishing number. It is preferred that NP preceptors hold board certification in their area of specialty. Certified Nurse Midwives must hold an active RN licensure, CNM certificate and CNM furnishing number. CNMs must hold national certification. Physician clinical preceptors must hold an active MD licensure and appropriate board certification in their specialty. 35 Evaluation 1. The preceptor shall contribute to the practicum grade by evaluating the student at the end of the clinical rotation; however, the final clinical grade/evaluation is the responsibility of the course Faculty of Record. 2. The student shall evaluate the preceptor and clinical site at the end of the practicum. 3. Lead Faculty for Clinical Placements shall arrange at least one site visit or interview—in person, via email or telephone—with the preceptor during the quarter to evaluate the student’s progress in clinical rotation. 4. The Faculty of Record for the clinical preceptorship shall review all student and preceptor evaluations at the end of the quarter. Clinical Preceptor Role & Responsibilities Serving as role models and supervisors for students during clinical rotation, preceptors must guide students in the clinical setting by performing the following responsibilities: 1. Provide clinical space for the student to see patients in their setting, 2. Provide a variety of patient encounters for the student to have a balanced learning experience in primary care, 3. Supervise, demonstrate, teach, and observe the student in clinical activities to develop the student's skills and to ensure appropriate patient care, 4. Delegate gradually increasing levels of responsibility to the student for the clinical assessment and management of patients as the student's skills develop, 5. Allow the student to record the problem in the patient charts or electronic health record (EHR) or use a chart note simulation in cases in which students may not record the encounter in patient medical records or the EHR, 6. Review and, if necessary, add information to the student's entry in patient charts/EHR and co-sign all patient records/EHR written by the student, 7. Participate in the evaluation of the student's clinical skills and didactic knowledge base by: • giving direct supervision and observation in the clinical setting • giving feedback to the student based on the oral presentation • reviewing the student’s chart notes/EHR • discussing the student’s progress with faculty electronically or during site visits • completing a written evaluation of student PROFESSIONAL CONDUCT IN CLINICAL ROTATIONS 1. Students are expected to interact in a professional, courteous and responsible manner with staff, patients, colleagues and visitors in the clinical setting. Students will be provided with clinical syllabi and objectives for each quarter. These documents are to be shared with your preceptors at the beginning of the rotation. Students are to assume 36 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. responsibility for clients only in the designated program settings and under approved supervision. An infraction of this policy is cause for dismissal. Treat this placement as a scheduled class. The preceptor, clinic administration, and UCI faculty expect you to be present in clinic as scheduled. Failure to maintain your clinical rotation schedule as pre-arranged with your preceptor will jeopardize your clinical advancement. Introduce yourself to all staff in the clinical environment. Dress: must follow Professional Attire Guidelines. Punctuality is essential. Arrive early; plan ahead for traffic, etc. Review patient schedule; look up diagnoses and labs. Preceptors may give students assignments such as research on a particular diagnosis, management of disease, treatment guidelines, etc. It is expected that the student complete these assignments as directed by preceptors. Failure to do so will be reflected on your evaluation. Obtain a cell phone number or contact number of the preceptor in case of absence. You must inform the preceptor prior to the scheduled rotation AND notify the Faculty of Record for the clinical course in case of absence. No personal or business phone calls, this is your time to LEARN; make the most of each day in your clinical experience. Turn all cell phones SILENT mode. Take initiative and be an assertive, adult learner—students are encouraged to ask to observe particular cases or procedures; always be respectful of patients/colleagues. Be prepared with clinical notes and resources (books, electronic devices). Do not expect the preceptor to have resource material for you to utilize. Conclude your rotation with a meeting with your preceptor to discuss your clinical progress throughout the rotation. A farewell thank-you note is always appreciated as preceptors have VOLUNTEERED their time to mentor you. Professional Attire: A. General Dress Guidelines 1. Student appearance is a reflection of the individual, the Program in Nursing Science, and the University of California, Irvine. A professional, neat and well-groomed appearance must be maintained at all times. 2. A white lab coat will be purchased by the student which will be embroidered with the University seal and program logo. 3. Professional business type attire is required for clinical rotations. Scrubs, jeans, hats, and baseball caps are unacceptable for the clinical setting. Men: Shirt and tie required; long pants. Women: Dress or skirt of appropriate length (remember you will be sitting on an exam stool) or dress pants. Casual attire is not acceptable such as stretch pants/leggings, “skinny jeans,” jeans/denim, Capri pants. 4. Both male and female students must wear comfortable, closed-toed shoes in the clinical areas (no sandals). 5. UCI Program in Nursing Science name badges must be worn with the white lab coat at all times in clinical settings. 37 6. All clothing should be clean, neat, free of wrinkles and properly fitted. B. Other Grooming and Jewelry Guidelines 1. Hair should be clean and arranged neatly. 2. Appropriate standards of bathing and grooming are expected. 3. Beards/mustaches must be short and neatly trimmed. 4. Nails should be kept clean and short; nail polish should be light-colored or neutral; artificial nails (acrylic or other) are prohibited per UCI policy. 5. Extreme styles of dress, hairdos and makeup are not permitted. 6. Tattoos must be completely covered in the clinical setting. 7. Students should only wear limited, non-obtrusive jewelry in the clinical setting. Though post-type, non-dangling earrings and small rings are permitted, the student must be cognizant of possible safety risks imposed by the jewelry. Students should keep in mind that rings with stones may be difficult to keep sufficiently clean as bacteria may be harbored in the settings. Other exposed pierced body sites must therefore be removed during the clinical rotation. 8. Some clinical sites may have other guidelines pertaining to grooming. As a visitor to such sites, students must also adhere to their guidelines. 9. Avoid perfumes, colognes, lotions, and body sprays. PATIENT PRIVACY AND SOCIAL NETWORKING HIPPA prohibits sharing of a patient’s medical information in all settings and violation may result in federal penalty, including sharing identifiable patient information during clinical seminar and classroom discussion. You may not take pictures of a patient’s condition in the clinical setting. Information about patients should be shared only with your professional colleagues on a need-to-know basis and this should be done in professional/ private settings. Do not discuss any patient information in public places such as hallways or break rooms. Sharing of patient information in public places (i.e. with friends, on social networking sites, etc.) is a breach of confidentiality violates patient privacy laws and will not be tolerated. PRACTICUM EVALUATION Each practicum course must be passed with an 83% (Satisfactory) or better. The student’s final evaluation is completed by the Faculty of Record utilizing multiple evaluation methods which may include standardized patient exams, preceptor evaluations, faculty site visit observations and assignments by the Faculty of Record as outlined in the practicum syllabus. Students must complete the clinical hour requirements for each practicum by the date specified in the syllabi. PRECEPTOR EVALUATIONS OF STUDENT The preceptor will formally evaluate the student at the end of the quarter. This evaluation serves as a component of the clinical practicum grade; however, each student is expected to meet with their preceptor informally on a regular basis to discuss clinical progress and 38 achievement of clinical objectives. The student and the preceptor may review the final evaluation together, as time permits. Students are expected to review and sign their evaluation electronically on Typhon. Evaluation forms are sent to the preceptors by the Clinical Support Analyst. If any problems are encountered in clinical venues, the student will be counseled by the Faculty of Record. As stipulated in the academic failure/program dismissal policy, students may be dismissed from the program for unprofessional conduct in the clinical practicum rotation or for failure to pass the clinical practicum with an 83% (Satisfactory)or higher. STANDARDIZED PATIENT EXAMS Performance exams (SKA, OSCEs and CPX) are used periodically throughout the program, to evaluate student’s progress toward achieving clinical competencies. Scoring of these exams is done by trained standardized patients and/or faculty observation. In the event a student does not demonstrate baseline competencies at the expected level on the first attempt at an OSCE or CPX, the Faculty of Record will develop a remediation plan with the student for successful achievement of competencies on a future attempt. FACULTY CLINICAL SITE VISIT The Lead Faculty for Clinical Placements or designated clinical faculty in the PNS will schedule a site visit to observe and evaluate the physical site, interaction between the preceptor and clients, and the student’s clinical progress. It is also an opportunity to work with the preceptor toward the development of the student's clinical skills. The NP Faculty will observe the students in patient encounters, presentation of cases to preceptor and evaluation of charting. A written report will be completed by the faculty and placed in the student’s file. In the event the faculty evaluation documents the student is below level of expected performance, the faculty will discuss the results with the student and the preceptor and a remediation contract will be developed. In the absence of a formal site visit, the faculty will communicate by telephone or via electronic means to discuss the student’s progress in the practicum. RECORD KEEPING 1. All clinical records are to be submitted to the Clinical Support Analyst for the clinical course as directed, unless specified otherwise. 2. A Clinical Hours Log must be turned in at the end of the quarter and will include the following: • Student’s name • Clinic name and preceptor name • Clinical rotation session • Patient care session start/end times each day, and total hours daily. • Original preceptor signature, signed daily. 39 3. 4. 5. 6. 7. 8. 9. • Seminar/Skills Appraisal/OSCE/Procedures/CPX dates with hours and faculty signature. Upload original copy signed by preceptor(s) to the Clinical Support Analyst for the clinical course. Keep the original copy for yourself. Start a new Clinical Hours Log for each clinical site and each quarter. Typhon NPST system is used to track the Clinical Preceptorship information. Students will be trained in the use of this web-based clinical preceptorship tracking system, and will be required to input clinical and patient data daily. Students will not be authorized to input data after 7 days. If not done in this timeframe, the student will lose the patient encounters for the omitted day(s). All clinical hours must be completed by the end of the quarter. Failure to complete clinical hours and/or concentration population may result in delayed program progression. Inaccurate and/or falsified data entry on clinical logs or in the Typhon NPST system will be considered academic dishonesty and may result in failure of the course and/or dismissal from the program. For clinical rotations in which the student is precepted for 20 hours or more, the student will evaluate each preceptor and site once during the quarter; evaluations must be turned in by the designated due date. All records must be submitted at the end of each quarter. Failure to do so will result in an “Unsatisfactory” grade for the clinical rotation. EXPOSURE GUIDELINES TO BLOODBORNE PATHOGENS (BBP) AND OTHER POTENTIALLY INFECTIOUS MATERIAL (OPIM) Participation in direct patient care activities can pose a risk to health care professionals, particularly in terms of exposure to infectious and/or communicable diseases. Costs of testing, diagnosis, and treatment of any infection and/or communicable diseases will be the responsibility of the student. As licensed registered nurses, post-graduate nursing students have current knowledge of universal safety precautions. Additionally, each student is required to complete an annual bloodborne pathogens training course. It is expected that all students strictly adhere to practices and principles of universal precautions, and routinely use appropriate barrier precautions and appropriate safety devices when occupational exposure to bloodborne pathogens and other potentially infectious material is likely. Students must maintain adequate health insurance through the academic school year as a prerequisite for clinical placements and as a non-academic condition of enrollment. Whenever in a clinical placement site, students are advised to keep their health insurance cards with them. Upon receipt of the Student Handbook, students must sign a receipt acknowledging that they have read the handbook and intend to follow the guidelines. The receipt then becomes part of their file. IF A STUDENT IS INJURED WHILE IN CLINICAL: 40 1. The student should immediately notify the clinical instructor/preceptor/faculty member, who will then immediately contact the Faculty of Record for the course. 2. If necessary the student will be excused from clinical for the day to seek medical treatment. Student remains responsible to fulfill all required clinical hours during the quarter. 3. If required, emergency care will be provided directly at the clinical site, at the student's expense. 4. The student is responsible for contacting his/her own health care provider immediately following emergent care to arrange for post-injury follow-up (this should be done within 4 hours of incident. 5. A needle stick is considered an urgent medical concern (see post-exposure guidelines below). 6. All costs that are associated with the immediate and/or follow-up treatment are the responsibility of the student. POST-EXPOSURE GUIDELINES: If a student comes in contact with another person’s blood or body fluid (e.g., through a needle stick injury, contact with skin, or mucous membrane splash), take the following steps: 1. Immediately clean wound site with antiseptic soap and flush area with water. Notify preceptor or on-site instructor immediately. 2. Any student who has been exposed to blood or body fluid from a patient who is known to be or suspected to be HIV positive, must be evaluated within one hour post-exposure to obtain the most effective early prophylaxis. Students will be excused from clinical for the day in order to seek treatment as indicated. Clinical hours missed must be made up later in the quarter. 3. Any student who has been exposed to blood or body fluid from a patient and does not know the patient’s status but who is concerned regarding exposure must also be seen within one-hour post-exposure to obtain the most effective early prophylaxis. Students will be excused from clinical for the day in order to seek treatment as indicated. Clinical hours missed must be made up later in the quarter. 4. After the exposure, the student should document the date and time, patient’s name, identification number, and the unit and clinical site in which the exposure occurred. Keep this information in a secure place. In addition, immediately contact the nursing supervisor or medical director at the clinical site and provide the supervisor or director with the information pertaining to the bloodborne exposure and source patient. If there is a UC Irvine faculty member on-site, s/he should be notified about the incident immediately. The nursing supervisor or medical director may request and obtain a source patient blood sample for Hepatitis B Surface Antigen, Hepatitis C, and consent for HIV testing (Rapid HIV test) if the patient’s status is not known. The nursing supervisor or medical director is authorized to release the results of the blood tests to the 41 student. The student is responsible for contacting the supervisor or director to obtain this information. **Note that post-exposure guidelines will vary among clinical sites and agencies; additionally, some clinical venues will have limited ability for on-site laboratory testing. Follow the agency guidelines for the site where the exposure occurs. Should the injury take place at UCIMC during clinical: Post-exposure care is provided by Occupational Health Services during business hours. Student is to demonstrate insurance coverage, and is responsible for any costs that may be incurred for post-exposure treatment. If the incident occurs after hours or on weekends/holidays, the House Supervisor will page the Infectious Disease Fellow on-call to review the details of the incident and estimate the risk of exposure. The Infectious Disease Fellow will discuss the incident, counsel the student, and will call the House Supervisor to order the Rapid HIV test on the source patient if indicated. The University of California, Irvine Healthcare has a Policy and Procedure for EXPOSURE: BLOODBORNE PATHOGEN PREVENTION AND CONTROL PLAN, (12/2009, see reference below for link to pdf). Should the injury take place at any other facility other than the UCIMC during clinicals: For cases of exposure occurring outside of UCIMC, the student should still follow steps #1-4 above. UCIMC will not be able to obtain the source patient's lab results. The student is responsible for obtaining these as discussed above. Postexposure guidelines will vary among clinical sites and agencies; additionally, some clinical venues will have limited ability for on-site laboratory testing. Follow the agency guidelines for the site where the exposure occurs. Post-exposure prophylaxis shall be provided when medically indicated per CDC general guidelines and as prescribed for the individual student by the Occupational Health physician, Infectious Disease physician, or Emergency Room attending. For students with private health insurance: Students should see their personal health care provider for post-exposure evaluation and care. There may be fees for the office visits, lab tests and other procedures which are the responsibility of the student. The students’ private insurance carrier may be billed; however, if the student’s insurance will not accept the facilities’ services, s/he must follow their carrier’s accepted protocol and s/he will be responsible for the cost. Again, it is the student’s responsibility to know his/her benefits, exclusions and limitations. Most insurance plans have provisions which include the need to report the injury to the insurance company within a brief period after the injury. 5. The student must follow-up with their healthcare provider through the “window period” as appropriate: six weeks, three months, six months, and 12 months. Refer to CDC guidelines for bloodborne pathogen post-exposure care. 42 6. The student must contact his/her healthcare provider if any of the tests are positive and must provide them with the supporting documentation. The students’ primary healthcare provider should provide post-test counseling and appropriate intervention. 7. Within 24 hours of the incident, the student should notify the UC Irvine Nursing Sciences Faculty of Record for the Clinical Course (undergraduate program) or the Lead Faculty for Clinical Preceptorship (graduate program). The Faculty of Record should then notify the Director and Associate Director, Graduate NP Program. References CDC (2005). Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm CDC (2010). Bloodborne Pathogens in Healthcare Settings. Retrieved from http://www.cdc.gov/hai/ UCI Healthcare Policy and Procedure Manual (2009). Exposure: Bloodborne Pathogen Prevention and Control Plan. 43 CAMPUS RESOURCES BOOKSTORE http://www.book.uci.edu/ ELECTRONIC EDUCATIONAL ENVIRONMENT (EEE) https://eee.uci.edu/ LIBRARIES (MAIN) http://www.lib.uci.edu/ OFFICE OF INFORMATION TECHNOLOGY (formerly known as NACS) http://www.oit.uci.edu/ PARKING AND TRANSPORTATION SERVICES http://www.parking.uci.edu/ PROGRAM IN NURSING SCIENCE (UCI) http://www.nursing.uci.edu/ 44 APPENDIX A: CURRICULUM FOR POST-GRADUATE CERTIFICATE The Post-Graduate program requires that students learn the basic core competencies of a NP. Included is a 5 quarter-unit pharmacology course which fulfills the requirements to apply for a California furnishing number and Schedule II Controlled Substance Furnishing Authority. The length of the Post-Graduate program is two academic years for most post-graduate students. There are 66 quarter units required in the Post-Graduate NP program. 720 hours of supervised clinical experience in primary care are required for both post-graduate and MS students. The exception will be for those post-graduate students who are already certified NPs, but desire to complete the FNP or AGPCNP concentration. The NP Track Coordinators and the Academic Advisor will discuss waiving or challenging coursework pertinent to your specialty. Post-graduate students will be awarded continuing education certificates at the successful completion of each quarter. All NP concentration courses must be completed within 24 months from the start of the program. FNP / AGPCNP Concentration Options Fall Quarter 1st Year Unit NS 210 Pathophysiology 3 NS 230 Advanced Health and 3 Physical Assessment NS 230L Advanced Health and 1 Physical Assessment Lab NS 282 Human Behavior and NS 225B Pharmacology B 2 nd Year NS 270 Primary Care 3 NS 245B Primary Care B NS 287 Clinical Practicum III 3 NS 215 HPDP NS 245A Primary Care A NS 250 Primary Care Women’s NS 285 Clinical Practicum I Unit 3 Winter 3 3 2 Unit NS 255 Primary Care Obstetrics 3 NS 280 Aging & Chronic Illness 3 3 Pediatrics NS 260B Adult/Gero B Unit Health Mental Health Fall Winter Quarter Spring NS 225A Pharmacology A NS 283 Procedures NS 260A Adult/Gero A NS 286 Clinical Practicum II Spring NS 289 Clinical Practicum V Unit 2 3 3 4 Unit 7 3 NS 281 Frameworks for APN 3 3 NS 288 Clinical Practicum IV 6 5 FNP: 42 Didactic Units / 24 Clinical Units AGPCNP: 42 Didactic Units / 24 Clinical Units -1- APPENDIX B: GENERAL WRITING RESOURCES Online Resources • Comprehensive “Guide to Grammar and Writing” http://grammar.ccc.commnet.edu/grammar/ • Basic Writing Workshop www.esc.edu/writer • Grammatical Exercises www.wilbers.com/exercise.htm • Writing Tips and Tutorials: Walden University http://inside.waldenu.edu/c/Student_Faculty/StudentFaculty_8264.htm • UCI Writing Center (on-line resources only) http://www.writingcenter.uci.edu/resources/resources-for-students/ • Writing Resources: Princeton University Writing Center http://web.princeton.edu/sites/writing/Writing_Center/WCWritingResources.htm Students should actively and regularly consult with instructors and/or advisors regarding written work produced for NP required courses. It is the student’s responsibility to seek aid with written work. Students should remain cognizant of academic honesty when completing all assignments. -2- APPENDIX C: PEARLS FOR RECRUITING A PRECEPTOR Pearls for Recruiting a Preceptor Welcome Graduate Students to the Program in Nursing Science. We are thrilled you are joining us and would like to give you some information about your clinical experiences that begin in your 2nd quarter. Your first clinical rotation will begin January 2016. The University of California, Irvine takes pride in selecting and overseeing preceptors and managing student preceptorships to ensure high quality clinical experiences; it is a role we take very seriously. We have some clinical placements available to students in the Orange County area and surrounding counties; however, to make certain each student receives ample clinical experiences, we are requiring each student to identify 2 preceptors to augment your clinical learning experiences. One preceptor will ideally be in a primary care clinical site (family medicine/practice, internal medicine, geriatrics and/or a community clinic), and for the FNP students, the other should be a preceptor who provides obstetrical (pre-natal) care to women. We have had significant challenges identifying preceptors for our students’ OB rotations and as a family nurse practitioner, pre- and post-natal care is an essential experience in your scope of practice. Also, if you are able to identify a pediatric site, this would be most welcome, as we are also in need of pediatric preceptors. For the AGPCNP students, please identify a second preceptor providing care for 65years and older, such as an internal medicine practice. Students may be precepted by MD’s, DO’s, NP’s and/or CNM’s. Examples of clinical settings include community clinics, private practice sites, group practices, and HMOs. Your clinical rotation experience will begin with primary care. Specialty care, such as primary care pediatrics, obstetrics, palliative care and hospice care, will commence in the second year (September 2016 OR January 2017). The following information will assist you in this effort: • • • • • • Suggestions for clinical sites might be your own personal clinician, colleagues or other acquaintances. Most hospital physicians, with whom you may work, have an outpatient practice and may consider precepting an NP student, or may help you to network with colleagues. Preceptors are expected to precept a student for approximately 8-16 hours a week (1-2 days) for 10 weeks per quarter. Ideally, a student should remain in the same site for two quarters (5-6 months). Preceptors are expected to carry malpractice insurance for themselves and their practices. All students have UCI malpractice insurance which provides coverage only in UCI affiliated clinical sites. You will also be required to purchase your own individual professional malpractice coverage. UCI requires that we have an affiliation agreement with each clinical practice. The affiliation agreement will be facilitated by Valerie Polunas, our Manager of Operational Support Services, and the process may take up to 6 months to complete-- so please bear this in mind. The preceptor experience is NOT simply a “tag-along” observational experience; the usual routine is to have students observe the preceptor (the first day or so), and then the student is expected to be more independent as the quarter goes on by having a more autonomous role in patient care with direct supervision by the preceptor. All medical records will be signed by your preceptor and feedback from the preceptor is expected to make sure the student is progressing. If you identify a potential preceptor, please complete the New Preceptor and Clinical Site Form and email to Camille Fitzpatrick and Valerie Polunas. We will contact the potential preceptor to discuss details. We appreciate your commitment to a rewarding clinical experience as a nurse practitioner student. If you have any questions, please don’t hesitate to contact us. Camille Fitzpatrick, MSN, A/GNP-BC NP Program, Lead Faculty for Clinical Placements fitzpatc@uci.edu 949-824-1924 Valerie Polunas Manager, Operational Support Services valerie.polunas@uci.edu 949-824-3846 -3- APPENDIX D: NEW PRECEPTOR-CLINICAL SITE FORM New Preceptor and Clinical Site Information Form Preceptor Information (Must complete ALL fields) Name: Position/Title: Phone: Email: (MD, NP, etc) (Indicate Work, Cell, Home) Clinical Site Information (Must complete ALL fields) Facility Name: Address: Type of Facility: Private Practice? YES NO Type of Practice: Quarter Needed:_____________________ Name of Student who identified Preceptor (If Applicable) Administrative Person Authorized to Sign: (Volunteer Coordinator and/or Affiliation Agreements) Contact: Position/Title: Phone: Email: NOTES (Please provide any additional information regarding the Preceptor/Site. E.G., "Must contact administrator first for placement" OR "Preceptor prefers to be contacted by e-mail/ cellphone") OFFICE USE ONLY CV Received: VETTED: Comments: YES NO RN or MD License: VETTED: YES Comments: NO NP BRN Furnishing & Certification: VETTED: YES ADMIN RECEIVED DATE / INITIAL Comments: NO ________________ PLEASE SUBMIT THIS FORM TO VALERIE POLUNAS WHEN COMPLETE at VALERIE.POLUNAS@UCI.EDU -4- APPENDIX E: PHYSICAL AND MENTAL HEALTH CLEARANCE FORM UNIVERSITY OF CALIFORNIA, IRVINE BERKELEY • DAVIS • IRVINE • LOS ANGELES • MERCED • RIVERSIDE • SAN DIEGO • SAN FRANCISCO SANTA BARBARA • SANTA CRUZ Program in Nursing Science 252 Berk Hall Irvine, CA 92697-3959 FAX: (949) 824-0470 Physical and Mental Health Clearance Form This is to verify that ___________________ does not have any physical or mental health (Print student’s name) condition(s) that would create a hazard to themselves, employees or patients during required clinical rotation assignments. __________________________ (Print name of Healthcare Provider) __________________________ (Signature of Healthcare Provider) __________________________ (License #) __________________________ (Date) -5-